Edward W. Sparrow Hospital Association

NPI #1841665247 in Lansing, Michigan

Provider Information

NPI Number: 1841665247
Entity Type: Organization
Organization Name: Edward W. Sparrow Hospital Association
Subpart: Yes (part of a larger organization)
Parent Organization: SPARROW HEALTH SYSTEM
Primary Specialty: Physician Assistant
Enumeration Date: Dec 10, 2015
Last Updated: Mar 26, 2024

Practice Location

Address: 1215 E MICHIGAN AVE
City: Lansing
State: Michigan
ZIP Code: 48912-1811
Phone: (517) 364-1000

Authorized Official

Name: MISTY GUNTER RUSSIAN
Title: SUPERVISOR, PROVIDER ENROLLMENT
Phone: (517) 253-6308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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